| Kenneth A. Harris, M.d., P.c. | |
|
10503 W Thunderbird Blvd # 313 Sun City AZ 85351-3022 | |
| (623) 933-3865 | |
| (623) 933-1413 |
| Full Name | Kenneth A. Harris, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 10503 W Thunderbird Blvd, Sun City, Arizona |
| Authorized Official Name and Position | Paul M Shanahan (BILLING MANAGER) |
| Authorized Official Contact | 6239746611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A. Harris, M.d., P.c. 10503 W Thunderbird Blvd # 313 Sun City AZ 85351-3022 Ph: (623) 933-3865 | Kenneth A. Harris, M.d., P.c. 10503 W Thunderbird Blvd # 313 Sun City AZ 85351-3022 Ph: (623) 933-3865 |
| NPI Number | 1669678587 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 12/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669678587 | NPI | - | NPPES |
| 1215067533 | Other | AZ | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 13481 (Arizona) | Primary |
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